Organization Active NPI

Hearing Institute of Texas

  • Hearing Aid Equipment
  • San Antonio, TX
National Provider Identifier
1053593590
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
L5777 Issued in TX
Legal business name
HEARING INSTITUTE OF TEXAS
Practice address
18518 Hardy Oak Blvd
Suite 301
San Antonio, TX 78258-4271
Phone
(210) 696-4327
Fax
(210) 798-2509
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance E Jackson, M.D.
Title
Owner
Phone
(210) 696-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X L5777 TX Primary

Addresses

Primary practice location

18518 Hardy Oak Blvd
Suite 301
San Antonio, TX 78258-4271

Mailing address

18518 Hardy Oak Blvd
Suite 301
San Antonio, TX 78258-4271
Phone (210) 696-4327

Other identifiers 1

IdentifierTypeStateIssuer
201223901MedicaidTX

National Provider Directory

National Provider Directory

Locations

18518 Hardy Oak Blvd
Ste 301
San Antonio, TX 78258
Phone (210) 696-4327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1053593590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 HARDY OAK BLVD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584271",
            "telephone_number": "210-696-4327",
            "fax_number": "210-798-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 HARDY OAK BLVD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584271",
            "telephone_number": "210-696-4327",
            "fax_number": "210-798-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING INSTITUTE OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-696-4327",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "TX",
            "license": "L5777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201223901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.